LISA MICHELLE SONG Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011727

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELLE

Last Name

SONG

Business Name

LISA MICHELLE SONG

Original Issue Date

01/13/2025

Effective Date

01/13/2025

Expiration Date

10/31/2025

City

ALBUQUERQUE

State

Zip

87111

Ever Disciplined

LastModifiedDate

02/04/2026